HomeMy WebLinkAboutPermit Electrical 1997-6-10
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225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. .;>LOCATION OF INSTALLATION
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retb~E55-T?Jo l ~O I
, JOB DESCRIPTION '
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Permits are non-transferable and expire
if work is not startea within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor E-s-/.A- :rfl~
Address !clIO (Ja!t..Pafc,), i:..ri..
I
Ci ty e / /~ J j) 't Phone L/J'S--55L1b
Supervisor License Number 4C/'S 'SI b
El(piration Date 10/ e/7
Constr Contr, Number-L/ /?-(,fJb 1:)()if5!)(I~L"';J C.
El(piration Date dJ-)C;i" r IDlql
S~~~~~Visin~ Electrician
/ /.
Owners Name fo.,fu/" ~ur/),o k/'c D.
Address3/9o! 6. tAY-e.U)() i../ Uo /J
, .
CitY5/r;/i'!j/''e1cL Phone 74/'C;/C;"J
OVNER INSTALLATION
"
The installation is being made on E.
property I own which is not intended
for sale, lease or rent,
Owners Signature:
~ATE~====-----------~--T~-~r(:}t1t~---~ 5.
RECEIPT I: \. tl' _ '1,/ i';';\
RECEIVED BY: t~IV)~
ELECTRICAL PERIlIT APPLICATION
City Job Number C\ lD ~ll
COMP.LETE FEE SCHEDULE BELOV
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Sum
Items Cost
1000 sQ.ft. or less
Each additional 500
SQ. ft or portion
thereof
Each Manuf'd Home. or
Hodulal' 'Dwelling
, Service or Feeder
B,
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to' 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 85.00
$ 15,00
$ 40,00
.'
$ 50.00 "
$ 60.00
$100.00
$130,00
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less
201 amps to 400 amps
Over "01 to 600 amps
,
Over 600 amps or 1000
Branch Circuits
, $ "0.00
$ 55,00
$ 80.00
volts see "B" above
,
"
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
"
$ 2.00
no t include'd)
. "
$ 40,00
$ 40.00
$ 20.00
$ 36,00
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